1986-209 BUILDING PERMIT
TOWN OF QUEENSBURY No 86-209
3! ^ a� WARREN COUNTY, NEW YORK
PERMISSION is hereb I-i - 80
y grant to Carl Lyford
19 Thomas St. H
OWNER of property located at Street,Road or Ave.
Sewage Alt. .�
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t''
1. OWNER'S Address is 19 Thomas St.
Glens Falls, NY
2. CONTRACTOR or BUI LDE RS Name
Dave Howard
3. CONTRACTOR or BUILDERS Address
Hudson Falls, N.Y. kta
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4. ARCHITECT'S Name
co)
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5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame 1 I Masonry I I Steel ( )
N
T. PLANS and Specifications m
1000 gallon tank, 2 6'x8' drywells with #3 stone per
No. plot and application submitted 1D
8. Proposed Use ^
Sewage system for dwelling
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 9 19 88
(If a longer period is required an application for en extension must be made to the Building and Zoning inspector of the
town of Oaeensbury before the expiration date.)
Dated at the Town of Queensbu'ry this 9rh Day of May 19 86
i SIGNED BY h a O. for the Town of Queensbury
Building and Zoning Inspector
NIP ✓Oum Of Queeniluly TOWN OF QUEENSBL-:
BUILDINGandZONINGOEPARTMENT Ir IE Q E (I V (� u
Bay and Haviland Road, RD. 1 Box 98 'IWy LS U IS
Oueensbury, New Vork 12801 MAY 71986 J
A.M. I 0 e2146!"ID P.
71e191i •111213141b1.
SEPTIC DISPOSAL
DISPOSAL ERMIT APPLICATION 9
Owner's Name • Tel. 2 2 j94/?
Address //#
//
Person/
Firm installing system ye,ti,,.6.4.44y
Number of bedrooms(residential only)
Total daily flow: (compute @ 150 aal.per bedroom perday)
Topography: flat - rolling -r`teep _ (ciFcle one) Degree of slope _%
�,/.lael2
Nature of soils:;San. loam-clay- other- Depth ft.
Ground water--. at what depth? ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required / Required -Rate min/inch.
Domestic Water Supply •Ffunicipal51 Well - Other
IMPORTANT !
on a separate piece of paper , submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from ally domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size /(gyp a gal.
rench ft. Tota •
Sits of above -4.
Seepage Pit (s) Number ;2 / Size ftX fj• ft. Size of stone@ 3 •
Any contractor, corporation, individual,Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application , will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
Signature licant /2r
Date
01/86 and/vl
Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina Department at least
24 hours before start of construction and shall
include a plot plan showing:
1) the proposed location of the system
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and
approval by the Building Inspector. Failure to
comply with this requirement may result in the
uncovering of the system by the installer and a
fine of up to 5250.00.
C. An approved copy of the plot plan shall he
available•on the construction site. Failure
to produce said plot plan at. time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Oueensbury Buildina
Department before further construction.
awn of Queenatury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME YFOR D
LOCATION /7 ne24.1A //S „sr
DATE ,5/8 / Pee PERMIT NO. ?( - act,
SOIL TYPE - ,. - Loam - Clay - �?1
Percolatio est Required? YES �`
Percolation rate - Min/Inch _
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel _
— SEEPAGE PITS{Number/ of)/ _� .
Size- // ft. X `‘ ft.
Gravel size - "3
PIPING: Sizae Type
Bldg. to tank 'r'RIQ� l/n
Tank to dist. box
Dist. box to field/pit _
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /41 ft.
Foundation to absorptiont.
Absorption to lot line 'pS ft.
Separation of pits 2D ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
CcMMENTS:
SYSTEM USE APPROVED
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!N ng Inspector
Inspector
01/86 and vl
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